The nurse is planning food selections with a client who has moderate hyponatremia. Which food choice should the nurse recommend to this client?
Baked sweet potato.
Lettuce and tomato salad.
Ham and cheese sandwich.
Fruit salad with bananas.
The Correct Answer is C
A. Baked sweet potato. Sweet potatoes are healthy but low in sodium, which is not ideal for someone with hyponatremia who needs to increase their sodium intake.
B. Lettuce and tomato salad. While nutritious, this salad is low in sodium and would not help in correcting hyponatremia.
C. Ham and cheese sandwich. Ham and cheese are both high in sodium, making this sandwich a suitable choice for someone needing to increase their sodium levels to address hyponatremia.
D. Fruit salad with bananas. Fruit salads are generally low in sodium, and while bananas are nutritious, they do not provide the needed sodium for someone with hyponatremia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Follow low carbohydrate diet with low glycemic index foods. This recommendation is more appropriate for managing diabetes rather than glomerulonephritis. Carbohydrate and glycemic index considerations are not the primary dietary concerns for glomerulonephritis patients.
B. Eat a high protein diet three times a day. In glomerulonephritis, kidney function is impaired, and a high protein diet can exacerbate the condition by increasing the workload on the kidneys. Protein intake should often be moderated, not increased.
C. Avoid foods high in potassium. While potassium management may be relevant in certain cases of kidney disease, it is not the primary dietary focus for glomerulonephritis unless hyperkalemia is a specific issue.
D. Restrict sodium rich foods and excessive oral fluids. Reducing sodium intake helps prevent fluid retention and hypertension, both of which can be problematic in glomerulonephritis. Controlling fluid intake also helps manage symptoms and prevent complications associated with impaired kidney function.
Correct Answer is A
Explanation
A. Call the healthcare provider to clarify if the client may have ice cream as requested. Ice cream is not a clear liquid and may not be appropriate for a client scheduled for surgery. The nurse should clarify the client's dietary restrictions with the healthcare provider before providing ice cream.
B. Offer to prepare a chocolate-flavored liquid nutritional supplement poured over ice. While this option may provide some chocolate flavor, it may not satisfy the client's request for ice cream.
Additionally, the nurse should confirm with the healthcare provider before offering any alternative to the prescribed clear liquid diet.
C. Provide the chocolate ice cream after determining the presence of bowel sounds. This action does not address the appropriateness of ice cream for a clear liquid diet before surgery. The nurse should clarify with the healthcare provider before providing ice cream.
D. Explain that a popsicle or a cup of gelatin can be provided rather than ice cream. While popsicles and gelatin are clear liquids and may be appropriate for the client's clear liquid diet, this option does not address the client's specific request for chocolate ice cream. The nurse should clarify with the healthcare provider before providing any alternatives.
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